Technical Field
[0001] The present invention relates to an automatic analysis device, an automatic analysis
system, and an automatic analysis method.
Background Art
[0002] A blood coagulation analysis device is known which analyzes blood coagulation time
by adding a reagent for coagulating blood to a blood specimen, preparing a coagulation
analysis sample, and optically measuring a coagulation reaction process of the coagulation
analysis sample. In the blood coagulation analysis, there is a case where the blood
coagulation analysis is not accurately performed by an optical measurement being affected
by interference substances (substances coexisting in the sample together with the
target substance to be tested and optically interfering with the measurement of the
target substance) such as hemoglobin, bilirubin, and chyle contained in the coagulation
analysis sample. If light having a long wavelength is used for measurement, although
it is not affected by hemoglobin and bilirubin, the influence of chyle also decreases,
on the other hand, the measurement sensitivity decreases. Therefore, in the blood
coagulation analysis device of the related art, light having a wavelength around 660
[nm], which is less susceptible to the influence of interference substances moderately
and has suitable measurement sensitivity, is used for measurement. However, even when
light having a wavelength around 660 [nm] is used for measurement, the influence of
chyle cannot be ignored. Therefore, efforts have been made to quantify the degree
to which these interference substances are contained in the specimen and to eliminate
the influence thereof.
[0003] For example, PTL 1 discloses a technique which measures the content degree of interference
substances using optical information (lag phase) from mixing of a coagulation analysis
reagent into the blood specimen until before the coagulation reaction is shown by
light from a coagulation analysis sample obtained by mixing a coagulation analysis
reagent into a blood specimen is received by a first light receiving portion to acquire
temporal optical information. According to this method, since the degree of the interference
substance in the blood specimen can be measured and the blood specimen is diluted
with the coagulation analysis reagent, a measurement range of the degree of the interference
substance can be expanded.
[0004] In addition, PTL 1 described above also discloses a technique for acquiring optical
information by receiving light from the blood specimen before a coagulation analysis
reagent is mixed into the blood specimen. According to this method, since the content
degree of interference substances in the blood specimen can be measured before the
coagulation analysis reagent is mixed with the blood specimen, in a case where the
content degree of interference substances in the blood specimen is large, the mixing
of the coagulation analysis reagent into the blood specimen can be stopped. Therefore,
wasteful consumption of the coagulation analysis reagents can be suppressed.
[0005] PTL 2 discloses a technique which adjusts an amplification rate of a detection circuit
by a light source having a plurality of wavelengths and electronic volumes corresponding
thereto in order to detect the presence or absence, type, the content degree, or the
like of interference substances in a specimen before mixing a coagulation analysis
reagent into the blood specimen.
Citation List
Patent Literature
Summary of Invention
Technical Problem
[0007] However, in the former method described in PTL 1, since the degree of interference
substance is measured using the optical information before the coagulation analysis
sample after mixing the coagulation analysis reagent into the blood specimen shows
a coagulation reaction, in a case where the measurement has to be stopped due to the
influence of the interference substances contained in the blood specimen, the coagulation
analysis reagent is wasted.
[0008] In addition, in the latter method described in PTL 1, since the degree of interference
substances is measured using optical information that is acquired by receiving light
from a blood specimen before mixing a coagulation analysis reagent into the blood
specimen(since blood specimen is not diluted with coagulation analysis reagent as
in the former method), when the degree of the interference substances in the blood
specimen is large, the degree of the interference substances is outside the measurement
range and thus there is a case where the degree of the interference substance cannot
be measured.
[0009] On the other hand, in a case of PTL 2, even if the degree of the interference substance
in the blood specimen is large, the degree of the interference substance can be measured
by adjusting the amplification rate of the detection circuit with the electronic volume.
However, if a coagulation time of the blood specimen is measured with the same amplification
rate as when measuring the degree of the interference substance, the sensitivity at
the time of measurement differs according to the degree of the interference substance
and thus an error is generated in the measurement result. In order to solve this problem,
it is necessary to switch the wavelength of the light source at the time of coagulation
time measurement (main measurement), or to provide a light measuring unit used for
measuring the degree of interference substance separately from a light measuring unit
used for main measurement and thus the configuration and control contents of the device
become complicated.
[0010] Therefore, the inventor of the present invention provides a mechanism that can expand
the measurement range of the degree of interference substances regardless of before
or after mixing of the reagent into the specimen and further the measurement of the
degree of the interference substance and the measurement of the specimen can be realized
under the same measurement condition.
Solution to Problem
[0011] In order to solve the problem described above, the present invention adopts configurations
described in the claims, for example. Although the present specification includes
a plurality of means for solving the problems described above, as an example thereof,
there is provided "an automatic analysis device including: (1) a measurement mechanism
that has a light measuring unit in which a reaction container into which a specimen
is dispensed is erected, a light source which irradiates the reaction container with
light, and a detection unit which detects scattered light from the specimen in the
reaction container; (2) an amplification circuit unit that has an adder/subtracter
which adds or subtracts a correction signal to/from a first measurement signal from
the detection unit and an amplification circuit which amplifies an output signal from
the adder/subtracter with a fixed amplification rate and outputs the amplified output
signal as a second measurement signal; (3) an arithmetic operation unit that calculates
the correction signal based on a difference between a signal level of the second measurement
signal and a target value thereof and executes an analysis operation based on the
second measurement signal after the correction by the correction signal; and (4) a
control unit that controls operations of the measurement mechanism, the amplification
circuit unit and the arithmetic operation unit".
Advantageous Effects of Invention
[0012] According to the present invention, the measurement range of the interference substance
can be expanded regardless of before or after mixing of the reagent into the specimen
and further the degree of the interference substance and the measurement of the specimen
can be measured under the same measurement condition. The problems, configurations,
and effects other than those described above will be clarified by the following description
of the embodiments.
Brief Description of Drawings
[0013]
[Fig. 1] Fig. 1 is a diagram illustrating a schematic configuration of a blood coagulation
analysis device according to Example 1.
[Fig. 2] Fig. 2 is a view for explaining the internal configuration of a signal processing
portion constituting the blood coagulation analysis device.
[Fig. 3] Fig. 3 is a view illustrating a measurement result example in Example 1.
[Fig. 4] Fig. 4 is a flowchart for explaining a processing operation of an arithmetic
operation unit constituting a signal processing portion.
[Fig. 5] Fig. 5 is a view for explaining a relationship between the degree (X) of
interference substances and the difference value (correction amount).
[Fig. 6] Fig. 6 is a flowchart for explaining a measurement procedure by the blood
coagulation analysis device according to Example 1.
[Fig. 7] Fig. 7 is a flowchart for explaining a measurement procedure by a blood coagulation
analysis device according to Example 2.
[Fig. 8] Fig. 8 is a view illustrating an example of measurement results in Example
2.
[Fig. 9] Fig. 9 is an enlarged view illustrating a portion of the measurement result
example illustrated in Fig. 8.
[Fig. 10] Fig. 10 is a view illustrating a schematic configuration of a blood coagulation
analysis device according to Example 3.
[Fig. 11] Fig. 11 is a diagram illustrating a schematic configuration of a blood coagulation
analysis device according to Example 4.
[Fig. 12] Fig. 12 is a diagram illustrating a schematic configuration of a composite
type automatic analysis device according to Example 5.
Description of Embodiments
[0014] Hereinafter, embodiments of the present invention will be described with reference
to the drawings. The embodiments of the present invention are not limited to the examples
described below and various modifications are possible within the scope of the technical
idea thereof.
(1) Example 1
(1-1) Overall configuration
[0015] In this embodiment, a blood coagulation analysis device which is an example of an
automatic analysis device will be described. Fig. 1 illustrates a schematic configuration
of a blood coagulation analysis device 1 according to this example. The blood coagulation
analysis device 1 is externally connected to a control device 2 configured as a calculator.
The blood coagulation analysis device 1 and a control device 2 constitute an automatic
analysis system.
[0016] The operation of each portion constituting the blood coagulation analysis device
1 is controlled by the control device 2. The control device 2 is used for controlling
the operation of each portion constituting the blood coagulation analysis device 1
such as an operation of a reaction container transfer mechanism 11, an operation of
a reaction container holding mechanism 12, an operation of a specimen dispensing portion
15, an operation of a coagulation analysis reagent dispensing mechanism 16, an operation
of a specimen erection portion 17, an operation of a specimen dispensing mechanism
19, an operation of a measurement mechanism 21, an operation of a signal processing
portion 31, an operation of a pump (not illustrated), an operation of a washing mechanism
(not illustrated), and an washing water supply operation, the condition setting thereof,
or the like. The control device 2 may be mounted inside a casing of the blood coagulation
analysis device 1.
[0017] The reaction container holding mechanism 12 attached to the reaction container transfer
mechanism 11 selectively grabs one reaction container or one of a plurality of reaction
containers 14 erected on the reaction container erection portion 13 and transfer the
grabbed reaction container to the specimen dispensing portion 15 or to the light measuring
unit 22. The specimen dispensing mechanism 19 sorts out the blood specimen to be measured
from one or a plurality of specimen containers 18 erected on the specimen erection
portion 17 and dispenses the sorted blood specimen into the reaction container 14
erected on the specimen dispensing portion 15. The coagulation analysis reagent dispensing
mechanism 16 dispenses the coagulation analysis reagent according to the measurement
item to the reaction container 14.
[0018] The measurement mechanism 21 is provided with one or more (four in Fig. 1) light
measuring units 22. One or more (one in Fig. 1) light sources 23 for emitting irradiation
light and one or more (one in Fig. 1) light receiving portions 24 for receiving scattered
light from the light measuring units 22 are disposed on the light measuring unit 22.
The measurement signal from the light receiving portion 24 is processed in the amplification
circuit unit 32 and the arithmetic operation unit 33 of the signal processing portion
31 and the processing result thereof is displayed on a user interface screen of a
display device provided in the control device 2.
(1-2) Internal configuration of signal processing portion 31
[0019] Fig. 2 illustrates the internal configuration of the signal processing portion 31.
As described above, the signal processing portion 31 includes the amplification circuit
unit 32 and the arithmetic operation unit 33.
The amplification circuit unit 32 includes a preamplifier 32a, an adder/subtracter
32b, and an amplification circuit 32c. On the other hand, the arithmetic operation
unit 33 includes an analog/digital conversion circuit 33a, a CPU 33b, a memory 33c,
a digital/analog conversion circuit 33d, and an adjustment circuit 33e.
[0020] The measurement signal S1 outputted from the light receiving portion 24 is primarily
amplified by the preamplifier 32a and then input to the adder/subtracter 32b. The
adder/subtracter 32b adds/subtracts the correction signal S3 fed back from the arithmetic
operation unit 33 with respect to the measurement signal S2 input from the preamplifier
32a of the preceding stage and outputs the correction signal to the amplification
circuit 32c of the subsequent stage. Here, the amplification circuit 32c secondarily
amplifies a corrected measurement signal S4 output from the adder/subtracter 32b.
Meanwhile, in the initial state (stability confirmation period described below), the
amplification degree in the adjustment circuit 33e is set to the initial value (zero).
Therefore, a signal level of the corrected measurement signal S5 output from the amplification
circuit 32c in the initial state is equal to the signal level obtained by amplifying
the measurement signal S1 of the light receiving portion 24 by an integrated value
of the amplification degree (fixed value) of the preamplifier 32a and the amplification
degree (fixed value) of the amplification circuit 32c.
[0021] A corrected measurement signal S5 output from the amplification circuit 32c is converted
into a digital value by the analog/digital conversion circuit 33a and then processed
by the CPU 33b. In addition, the digital value obtained by converting the corrected
measurement signal S5 is stored in the memory 33c over time. The CPU 33b uses the
digital value stored in the memory 33c and executes the measurement processing of
the scattered light intensity of the specimen and the measurement processing of the
degree (X) of the interference substance. Specific processing contents will be described
below.
[0022] A correction data S6 which gives the magnitude of the degree (X) of the interference
substance calculated by the CPU 33b is converted into an analog signal by the digital/analog
conversion circuit 33d and then output to the adjustment circuit 33e. The adjustment
circuit 33e converts the signal level of the input analog signal in order to be equivalent
to the input level of the amplification circuit 32c and outputs the converted input
analog signal as the correction signal S3.
[0023] The adjustment circuit 33e has an initial value and a predetermined value as an adjustment
value. The adjustment value is switched from the initial value to a predetermined
value according to an instruction from the CPU 33b. The adjustment circuit 33e outputs
the level-adjusted correction signal S3 to the adder/subtracter 32b. By the addition
and subtraction performed by the adder/subtracter 32b, the influence of the degree
(X) of the interference substance contained in the measurement signal S1 output from
the light receiving portion 24 is removed.
(1-3) Internal processing of signal processing portion 31
[0024] In the initial state immediately after the start of the measurement, the digital
value (measurement data) of the corrected measurement signal S5 representing the scattered
light intensity measured by the light receiving portion 24 is sequentially stored
in the memory 33c. The corrected measurement signal S5 at this stage includes not
only the intensity component of the scattered light from the specimen but also the
intensity component of the scattered light from the unknown interference substance.
"A stability confirmation period" in Fig. 3 corresponds to time transition of the
measurement data immediately after the start of measurement. Fig. 3 illustrates a
case where the degree (X) of interference substances is 0 (zero) [FTU], 1500 [FTU],
and 3000 [FTU]. It can be seen that as the degree (X) of the interference substance
increases, the value of the measurement data increases.
[0025] However, for a while from the start of the measurement, the fluctuating portion appears
in the measurement data. Therefore, it is necessary to calculate the degree (X) of
the interference substance after the timing at which the transition of the measurement
data becomes stable. Therefore, as illustrated in Fig. 4, the CPU 33b sequentially
reads measurement data from the memory 33c (process 101) and determines whether or
not the data is stable (process 102) . For example, measurement data is read for each
0.1 seconds. Whether or not the data is stable can be determined, for example, based
on whether or not the deviation of two or more consecutive or intermittent data stored
in the memory 33c is within a predetermined range. In the example of Fig. 3, it is
determined that the measurement data is stable at the time of 0.7 seconds from the
start of measurement.
[0026] In a case where that the time length (for example, 0.7 seconds in the case of Fig.
3) required for the measurement data to be stable is known by prior measurement, the
CPU 33b monitors only the elapsed time from the start of the measurement, it can be
determined whether or not the measurement data is stable. In this case, it is unnecessary
to read the measurement data of the process 101.
[0027] When the transition of the measurement data is stable, the CPU 33b executes the correction
processing (processing 103). In this process, the CPU 33b calculates the difference
value between the target value of the preset measurement value ("1000" in the case
of Fig. 3) and the latest measurement data, converts the calculated difference value
to a tentative value (corrected measurement signal S5) corresponding to the degree
(X) of interference substance, and outputs it to the digital/analog conversion circuit
33d. Here, for the conversion from the difference value to the degree (X) of the interference
substance, a relational expression established between the difference value obtained
in advance and the degree (X) of the interference substance is used. This relational
expression is generally expressed as a linear equation.
[0028] Fig. 5 illustrates an example of a relationship between the difference value and
the degree (X) of the interference substance. In a case of Fig. 5, the vertical axis
represents difference values, and the horizontal axis represents formazin turbidity
(degree (X) of chyle which is an interference substance). In the drawing, the broken
line approximating the sample point corresponds to the relational expression described
above. The relationship illustrated in Fig. 5 is obtained by measuring the degree
(X) of the known interference substance and the difference value in advance. A conversion
table that satisfies this relational expression is stored in the CPU 33b. Although
the relationship between the degree (X) of interference substances and the difference
value is desirably determined every time prior to the measurement, the relationship
thereof may be obtained for each measurement interval (for example, once every several
times) according to the usage situation.
[0029] Returning to the description of Fig. 4, During the execution of the correction process,
the CPU 33b determines whether or not the digital value of the corrected measurement
signal S5 whose signal level is reduced by the correction signal S3 is stable (process
104). For this determination process, a method similar to the method described above
is used. This determination process is continued until the corrected measurement signal
S5 obtained by subtracting the correction signal S3 from the measurement signal S2
is stable to a value close to the target value . A time of 0.7 seconds to 1.2 seconds
from the start of measurement corresponds to the example of Fig. 3.
[0030] The CPU 33b determines the degree (X) of the interference substance at the end of
the correction processing period as a correction value (fixed) to be used in the main
measurement and outputs the degree thereof as the correction data S6 during the main
measurement (processing 105). Upon shifting to this measurement (in the case of Fig.
3, 1.2 seconds or later), the CPU 33b executes the control operation of each portion
and outputs the measurement result such as the coagulation time of the measurement
sample. In this measurement (correction value fixed period of Fig. 3), the confirmed
correction value is used as it is.
(1-4) Measurement operation by blood coagulation analysis device 1
[0031] Fig. 6 illustrates a measurement procedure by the blood coagulation analysis device
1. Prior to the start of the measurement, various conditions relating to the measurement
are set in advance by the control device 2 in the blood coagulation analysis device
1.
[0032] The blood coagulation analysis device 1 starts a measurement operation based on an
instruction from the control device 2. First, the control device 2 executes a blood
specimen dispensing process (process 111). Here, the control device 2 transfers the
reaction container 14 erected on the reaction container erection portion 13 to the
specimen dispensing portion 15 using the reaction container holding mechanism 12 mounted
on the reaction container transfer mechanism 11. Thereafter, under the control of
the control device 2, the blood coagulation analysis device 1 fractionates the blood
specimen to be measured from the specimen container 18 using the specimen dispensing
mechanism 19 and dispenses the blood specimen to a reaction container 14 erected on
the specimen dispensing portion 15.
[0033] Next, the control device 2 executes the measurement process (process 112) of the
scattered light intensity of the specimen. Here, the control device 2 transfers the
reaction container 14 into which the blood specimen is dispensed from the specimen
dispensing portion 15 to the light measuring unit 22 using the reaction container
holding mechanism 12 mounted on the reaction container transfer mechanism 11. Thereafter,
the blood coagulation analysis device 1 causes the light source 23 to generate irradiation
light 25 and irradiates the reaction container 14 with the irradiation light. At the
same time, the blood coagulation analysis device 1 receives the scattered light 26
scattered by the blood specimen in the reaction container 14 by the light receiving
portion 24 disposed in the vicinity of the reaction container 14. The light receiving
portion 24 outputs a measurement signal S1 corresponding to the magnitude of the received
scattered light 26.
[0034] As the wavelength of a measurement light, a long wavelength which is unlikely to
be affected by interference substances (hemoglobin, bilirubin) contained in the blood
specimen is used. In this example, a light source 23 that emits irradiation light
25 having a wavelength of 660 [nm] to 700 [nm], which has relatively high measurement
sensitivity in this measurement, is used. As the light receiving portion 24, it is
preferable to use a light receiving element having high light receiving sensitivity
with respect to the wavelength to be used. At the time of the measurement process
102, as described above, the influence of the degree (X) of the unknown interference
substance is included in the measurement signal S1.
[0035] Next, the control device 2 executes the measurement process (process 113) of the
degree (X) of the interference substance. Here, the signal processing portion 31 calculates
the difference value between the digital value of the corrected measurement signal
S5 and the target value, and removes the influence of the degree (X) of the interference
substance which is conceived to the difference value from the measurement signal S2.
When the digital value of the corrected measurement signal S5 is stable, the degree
(X) of the interference substances contained in the blood specimen is measured.
[0036] Subsequently, the control device 2 compares the measured degree (X) of the interference
substance with the threshold 1 (process 114). The threshold value 1 is a value of
the degree (X) of the interference substance which affects the present measurement
and is set in advance. As the threshold value 1, the manufacturer may prepare an initial
setting value, or the user may input the initial setting value through the user interface
screen of the display device provided in the control device 2. In a case where the
degree (X) of the interference substance is larger than the threshold 1 (in a case
where degree (X) of interference substance is high and influence on this measurement
is assumed), the control device 2 stops the analysis (main measurement) (processing
115) . In this case, since the analysis (main measurement) is stopped before dispensing
the measurement reagent to the blood specimen, the waste of the measurement reagent
can be suppressed. In addition, at this time, an alarm indicating that the analysis
(main measurement) is stopped or an alarm indicating that the degree (X) of the interference
substance is high may be outputted.
[0037] On the other hand, in a case where the degree (X) of the interference substance is
equal to or less than the threshold value 1, the control device 2 compares the degree
(X) of the interference substance with the threshold value 2 (process 116) . The threshold
value 2 is a value used for determining that the degree (X) of the interference substance
does not affect the main measurement, but is higher to a certain extent, and is set
in advance. As the threshold value 2, the manufacturer may prepare the initial setting
value, or the user may input the initial setting value through the user interface
screen of the display device provided in the control device 2.
[0038] Here, in a case where the degree (X) of the interference substance is larger than
the threshold 2, the control device 2 adds a data alarm (process 117). At this time,
the control device 2 notifies the user through the user interface screen of the display
device or the speaker that the degree (X) of the interference substance is high to
a certain extent. The control device 2 may display the degree (X) of interference
substances, as necessary.
[0039] In a case where the degree (X) of the interference substance is equal to or less
than the threshold value 2 or after the data alarm addition process 117 is executed,
the control device 2 dispenses the measurement reagent, to the blood specimen determined
to be capable of performing this measurement (process 118). Next, the control device
2 measures a coagulation time (T) of the measurement reagent (process 119) using the
measurement data. In other words, the control device 2 measures the time (coagulation
time (T)) from the dispensing of the measurement reagent to the detection of the coagulation.
Thereafter, the control device 2 displays the measured coagulation time (T) or the
fact that the measurement is stopped on the user interface screen of the display device
(measurement result output process 120).
[0040] Thereafter, the control device 2 determines the presence or absence of a blood specimen
to be measured next (process 121). In a case where there is a blood specimen to be
measured next, the next blood specimen is dispensed into the reaction container 14
(process 111), and in a case where is no blood specimen to be measured next, a series
of measurement process is ended.
(1-5) Effect of example
[0041] Since the blood coagulation analysis device 1 subtracts the correction signal S3
from the measurement signal S2 to obtain the corrected measurement signal S5, even
before mixing the measurement reagent into the blood specimen, the measurement range
of the degree (X) of interference substance Can be expanded. Therefore, even in a
case where the degree (X) of the interference substance is high, it is possible to
measure the coagulation time by performing this measurement.
[0042] In addition, in a case where the degree (X) of interference substance is high and
the influence on this measurement is assumed, this measurement can be stopped before
mixing the measurement reagent into the blood specimen. As a result, it is possible
to suppress the waste of the measurement reagent. In addition, in the blood coagulation
analysis device 1, even in a case where the degree (X) of the interference substance
is high to a certain extent, the present measurement can be performed without changing
the measurement time and the measurement condition of the degree (X) of the interference
substance. In other words, as in a case of PTL 2, there is a need to switch the electronic
volume, to switch the wavelength of the irradiation light 25, or to separately provide
an optical system for measurement of the degree (X) of interference substance and
an optical system for main measurement. Therefore, it is possible to improve the measurement
efficiency.
(2) Example 2
[0043] In Example 1 described above, although a case where the measurement reagent is dispensed
after the correction process is performed to measure the degree (X) of the interference
substance the main measurement is described, in this example, a case where the correction
process is performed after the measurement reagent is dispensed and then the main
measurement is executed is described. The device configuration of the blood coagulation
analysis device 1 is the same as that of the first embodiment.
[0044] Fig. 7 illustrates a measurement procedure of the blood coagulation analysis device
1 according to this example. The blood coagulation analysis device 1 starts a measurement
operation based on an instruction from the control device 2. First, the control device
2 dispenses the blood specimen into the reaction container 14 (process 131). Specifically,
the control device 2 uses the reaction container holding mechanism 12 to transfer
the reaction container 14 erected in the reaction container erection portion 13 to
the specimen dispensing portion 15, and then uses the specimen dispensing mechanism
19 to fractionate the blood specimen from the specimen container 18, and then dispenses
the fractionated blood specimen into the reaction container 14 erected in the specimen
dispensing portion 15.
[0045] Next, the control device 2 dispenses the measurement reagent to the reaction container
14 (process 132). Specifically, the control device 2 transfers the reaction container
14 into which the blood specimen is dispensed from the specimen dispensing portion
15 to the light measuring unit 22 using the reaction container transfer mechanism
11, and then dispense the coagulation analysis reagent to the reaction container 14
using the coagulation analysis reagent dispensing mechanism 16 according to the measurement
item. Thereafter, the control device 2 irradiates the irradiation light 25 from the
light source 23 to the coagulation analysis sample in which the blood specimen and
the coagulation analysis reagent are mixed to each other by the discharge pressure
of the reagent at the time of dispensing in the same manner as in Example 1, and then
scattered light 26 scattered by the blood specimen in the reaction container 14 is
received by the light receiving portion 24.
[0046] There is a certain period of time (lag phase) from when the blood specimen and the
coagulation reagents are mixed to each other until the coagulation reaction appears.
In this example, the correction process (process 133) for approximating the digital
value of the corrected measurement signal S5 to a preset target value is repeated
by the specified number of times using this lag phase (process 134). Instead of executing
the prescribed number of times of correction processes, as in the method described
in Example 1, it is possible to use a method of checking whether or not the digital
value of the corrected measurement signal S5 is stable in the vicinity of the target
value or a method of checking the progress of the lag phase time can be used.
[0047] Fig. 8 illustrates an example of measurement data after the correction process is
performed a specified number of times during the lag phase. S-001, S-002, S-003 and
S-004 in the drawing indicate different blood specimens. Fig. 9 is an enlarged view
of measurement results of 0.1 second to 2.0 seconds in the transition of the measurement
data illustrated in Fig. 8. In Fig. 8 and Fig. 9, the target value is set as 10000
counts and it is indicated a case where the correction process is repeatedly performed
between 0.7 seconds and 1.0 seconds.
[0048] The control device 2 captures the measurement data after the correction process from
the CPU 33b and checks whether the measured data falls within a certain range (reference
range) with respect to the target value (process 135) . S-001 to S-003 in Fig. 9 almost
coincide with target values and are included within a certain range. Therefore, the
control device 2 continues the measurement of the coagulation time of the analysis
sample (process 137). Accordingly, even in a case where the degree (X) of the interference
substance is high to a certain extent, the main measurement can be performed without
changing the configuration and measuring conditions of the light measuring unit 22.
[0049] On the other hand, in a case where the captured data after correction does not fall
within a certain range (reference range) with respect to the target value as in S-004
of Fig. 9, the degree of the interference substance of the blood specimen to be measured
is high, A sufficient measurement range cannot be secured in the main measurement.
Therefore, the control device 2 stops the analysis (main measurement) before outputting
an abnormal measurement result (processing 136). Thereafter, the control device 2
displays the fact that the measured coagulation time (T) or analysis (main measurement)
is stopped (process 138) on the user interface screen of the display device provided
in the control device 2.
[0050] Thereafter, the control device 2 determines the presence or absence of a blood specimen
to be measured next (process 139) and in a case where there is a blood specimen to
be measured next, dispenses the next blood specimen into the reaction container 14
(process 131). On the other hand, in a case where there is no blood specimen to be
measured next, the control device 2 ends the series of measurement processes. As described
above, even in a case where the degree (X) of the interference substances contained
in the blood specimen is high, the measurement efficiency can be improved.
(3) Example 3
[0051] In this example, a description will be given of a blood coagulation analysis device
1 on which a signal processing portion 31 is mounted which requires fewer components
as compared with the blood coagulation analysis device 1 according to Example 1 and
Example 2. Fig. 10 illustrates the internal configuration of the blood coagulation
analysis device 1 according to this example. In Fig. 10, components corresponding
to those in Fig. 1 are denoted by the same reference numerals.
[0052] Fig. 10 illustrates a case where the measurement mechanism 21 includes four light
measuring optical systems (light measuring unit 22, light source 23, and light receiving
portion 24 are four, respectively) . This configuration itself is the same as that
of the first embodiment illustrated in Fig. 1. In a case of this example, the measurement
signals from the four light receiving portions 24 are output to the amplification
circuit unit 32 via a multiplexer 34. As illustrated in Fig. 10, the multiplexer 34
is provided with four switches in which only one is ON-controlled in one time division.
Therefore, from the multiplexer 34, the multiplexed measurement signal S10 obtained
by time division multiplexing the measurement signal S1 input from the four light
receiving portions 24 is output.
[0053] The processing contents of the amplification circuit unit 32 are common to the measurement
signals S1 from all the light receiving portions 24. Therefore, in this example, the
amplification circuit unit 32 and the arithmetic operation unit 33 are integrated
into one. Accordingly, the number of components of the signal processing portion 31
can be reduced. In other words, the number of these components can be reduced to one
fourth of those of Example 1 and Example 2. In a case of this example, the CPU 33b
calculates a correction data S6 in a time division manner and feeds the correction
data S6 back to the amplification circuit unit 32 as the correction signal S1.
(4) Example 4
[0054] In the examples described above, although a case where the degree (X) of the interference
substance is obtained by calculation prior to the start of the main measurement has
been described, in this example, a blood coagulation analysis device 1 for estimating
the interference substances contained in the blood specimen based on the detected
degree (X) of the interference substance will be described.
[0055] Fig. 11 illustrates the configuration of the blood coagulation analysis device 1
according to this example. In Fig. 11, portions corresponding to those in Fig. 1 are
denoted by the same reference numerals. In this example, the measurement mechanism
21 includes three scattered light measuring optical systems and one transmitted light
measuring optical system. In the transmitted light measuring optical system, as illustrated
in Fig. 11, the light source 23 and the light receiving portion 24a are disposed at
positions facing each other across the light measuring unit 22a.
[0056] In a reason why the degree (X) of the interference substance is high and it is determined
that this measurement is affected, there is a case due to the effects of such precipitation
or bubbles of fibrin. in addition to the fats and oils (for example, chyle). In a
case of estimating this cause, the control device 2 relocates the reaction container
14 into which the blood specimen is dispensed to the light measuring unit 22a by the
reaction container transfer mechanism 11. Thereafter, the control device 2 dispenses
a reagent corresponding to the diluent liquid and the interference substance to be
measured (for example, triglyceride, etc.) to the blood specimen using the coagulation
analysis reagent dispensing mechanism 16 with respect to the blood specimen and the
absorbance thereof is measured by the light receiving portion 24a. The control device
2 estimates the interference substance to be measured based on the measured absorbance
information.
(5) Example 5
[0057] In Example 4 described above, although the transmitted light measuring optical system
(light measuring unit 22a, light source 23, light receiving portion 24a) dedicated
to the estimation of the interference substances is disposed in the blood coagulation
analysis device 1, it is not always necessary to dispose the transmitted light measuring
optical system dedicated to the estimation of the interference substance. For example,
even in a composite type automatic analysis device that can measure both blood coagulation
items and biochemical analysis items, a mechanism for measuring biochemical analysis
items can be used for estimating interference substances contained in the blood specimen.
[0058] Fig. 12 illustrates a schematic configuration of the composite type automatic analysis
device 100. The composite type automatic analysis device 100 mainly includes a specimen
dispensing probe 101 (corresponding to the specimen dispensing portion 15), a specimen
disc 102 (corresponding to specimen erection portion 17), a reagent dispensing probe
106 (corresponding to coagulation analysis reagent dispensing mechanism 16), the reagent
disc 107, the reaction container stock portion 111 (corresponding to reaction container
erection portion 13), the reaction container transport mechanism 112 (corresponding
to reaction container transfer mechanism 11 and reaction container holding mechanism
12), the signal processing portion 121 (corresponding to signal processing portion
31), a reaction container disposal portion 117, an operation portion 118, a storage
portion 119, and a control unit 120.
[0059] The specimen dispensing probe 101 adsorbs a specimen (sample) accommodated in a specimen
container (sample container) 103 disposed on a specimen disc 102 rotating in a clockwise
direction and a counterclockwise direction and an accuracy management sample accommodated
in an accuracy management sample container (not illustrated) and discharges the specimen
or the accuracy management sample to the reaction container 104 (corresponding to
the reaction container 14). The specimen dispensing probe 101 is connected to the
specimen syringe pump 105 and adsorbs or discharges the specimen under the control
of a computer which is the control unit 120.
[0060] The reagent dispensing probe 106 adsorbs the reagent accommodated in the reagent
container 108 disposed on the reagent disc 107 and discharges the reagent to the reaction
container 104 in which the specimen is accommodated. Here, the mixed solution between
the specimen (also including diluted liquid of specimen) and the reagent to each other
is referred to as "reaction solution". The reagent dispensing probe 106 is connected
to the reagent syringe pump 110, and adsorbs or discharges the reagent under the control
of a computer which is the control unit 120.
[0061] For the blood coagulation analysis, a reagent temperature raising mechanism 109 can
be built in the reagent dispensing probe 106. By the control unit 120 controlling
the reagent temperature raising mechanism 109, the temperature of the reagent absorbed
by the reagent dispensing probe 106 is raised and adjusted to an appropriate temperature
(predetermined temperature).
[0062] The reaction container transport mechanism 112 transports and installs the reaction
container 104. The reaction container transport mechanism 112 holds the reaction container
104, rotates horizontally to transport and install the reaction container 104 from
the reaction container stock portion 111 to a reaction container installation portion
114 of the detection unit 113. In addition, the reaction container transport mechanism
112 transports and installs the reaction container 104 to a reaction container installation
portion 129 of a biochemical reaction disc 126. The reaction container installation
portion 114 here corresponds to the light measuring unit 22 in Example 4. In addition,
the reaction container installation portion 129 corresponds to the light measuring
unit 22a of Example 4.
[0063] The detection unit 113 has at least one reaction container installation portion 114
(a case of one reaction container installation portion is in Fig. 12) for placing
the reaction container 104 and measures the scattered light from the reaction container
104 inserted into the reaction container installation portion 114. The light source
115 (corresponding to the light source 23 in Fig. 1) of the detection unit 113 irradiates
the reaction container 104 with the irradiation light. The irradiation light irradiated
from the light source 115 is scattered by the reaction solution contained in the reaction
container 104. The detection unit 116 (light receiving portion 24 in Fig. 11) includes
a photodiode or the like. The detection unit 116 receives the scattered light scattered
by the reaction solution in the reaction container 104 and performs light/current
conversion. Accordingly, the detection unit 116 outputs a measurement signal indicating
the received light intensity to the signal processing portion 121 (corresponding to
signal processing portion 31 in Fig. 11).
[0064] The biochemical reaction disc 126 is kept at a constant temperature by a thermostatic
bath (not illustrated). A transmitted light source 128 is disposed inside the biochemical
reaction disc 126, and the transmitted light source 128 irradiates the reaction container
erected in the reaction container installation portion 129 with the irradiation light.
The irradiation light irradiated from the light source 115 is attenuated by the reaction
solution accommodated in the reaction container and transmitted and received by the
transmitted light receiving portion 127 (corresponding to light receiving portion
24 a in Fig. 11) disposed at the facing position. The transmitted light receiving
portion 127 includes a photodiode or the like. The transmitted light receiving portion
127 receives the transmitted light attenuated and transmitted by the reaction solution
in the reaction container and converts the transmitted light into light/current. Accordingly,
the transmitted light receiving portion 127 outputs a measurement signal indicating
the received light intensity to the signal processing portion 121.
[0065] In the signal processing portion 121, the same process as in Example 1 is executed.
The processing result of the signal processing portion 121 is output to the control
unit 120 (corresponding to control device 2 of Fig. 1) via the interface 122. The
reaction container transport mechanism 112 holds the reaction container 104 whose
measurement is ended, transports the reaction container to the reaction container
disposal portion 117, and discards the reaction container.
[0066] The analysis items of the sample analyzed by the composite type automatic analysis
device 100 are input to the control unit 120 via the operation screen displayed on
the keyboard 118b or the display portion 118c as input means. A graphical user interface
(GUI) for inputting analysis items by operating the analysis items displayed on the
display portion 118c with pointers or the like may be used. The control unit 120 mainly
includes an overall control unit 120a, a measurement control unit 120b, and the like.
The overall control unit 120a controls the operation of the composite type automatic
analysis device 100 such as dispensing of the specimen or reagent, relocation of the
reaction container 104, disposal of the reaction container 104, and the like, which
are described above.
[0067] The measurement control unit 120b performs a calculating process of a measurement
value of the light intensity changing with time according to the degree of mixing
reaction between the specimen and the reagent and calculates the concentration or
reaction time of an object to be analyzed (which refers to coagulation time or the
like in blood coagulation measurement). Also, it is possible to calculate the concentration
and the reaction time of the object to be analyzed accommodated in the specimen and
to determine acceptability based on the result of comparison with a predetermined
determination threshold value. The calculated concentration or reaction time is output
to the display portion 118c and stored in the storage portion 119. The concentration
or the reaction time as the calculation result may be printed out to the printer 123
via the interface 122.
[0068] Next, the operation of the composite type automatic analysis device 100 will be described.
In this example, measurement of the degree (X) of the interference substance based
on the measurement signal of the scattered light is executed using the detection unit
113. Similar to Example 4, in a case where it is necessary to accurately estimate
the interference substance accommodated in the specimen, the sample solution adsorbed
from the reaction container 104 installed in the reaction container installation portion
114 is dispensed into reaction containers installed on the reaction container installation
portion 129 on the biochemical reaction disc 126. This operation corresponds to the
operation of relocating the reaction container 14 to the light measuring unit 22a
in Example 4.
[0069] When the reaction container in which the sample solution is dispensed moves to the
reagent addition position by rotating the biochemical reaction disc 126, the reagent
dispensing probe 106 descends to the reagent container 108 and sorts the reagent.
When the tip of the reagent dispensing probe 106 comes into contact with the liquid
surface of the reagent, since a detection signal is output from a liquid surface detection
circuit (not illustrated), the control unit 120 stops the descent operation of the
reagent dispensing probe 106 based on the output thereof.
[0070] Thereafter, the sorted reagent is dispensed into the reaction container installed
in the reaction container installation portion 129 by the reagent dispensing probe
106, and mixed with the sample solution and the reagent. Thereafter, the mixture of
the sample solution and the reagent is stirred. Subsequently, due to the rotation
of the biochemical reaction disc 126, the reaction container moves to the position
of the measurement optical system (transmitted light source 128, transmitted light
receiving portion 127) of biochemical analysis, and the absorbance thereof is measured
by the transmitted light receiving portion 127 which receives transmitted light. The
measurement signal of the transmitted light is input to the control unit 120 via the
signal processing portion 121 and the interface 122, and the interference substance
included in the specimen is estimated by the control unit 120. The analysis result
is printed out on the printer 123, outputted on the screen of the display portion
118c, or stored in the storage portion 119.
(6) Another example
[0071] The present invention is not limited to the examples described above, but includes
various modifications. For example, the examples described above is described in detail
in order to explain the present invention in an easy-to-understand manner, and it
is not always necessary to provide all the configurations described. In addition,
a portion of the configuration of one example can be replaced by the configuration
of another example. In addition, the configuration of another example can be added
to the configuration of one example. In addition, a portion of the configuration of
each example can be deleted.
[0072] In addition, each configuration, functions, processing portions, processing means
and the like, which are described above may be realized by hardware, for example,
by designing a portion or all thereof with an integrated circuit or the like. In addition,
each configuration, functions, and the like, which are described above may be realized
by interpreting and executing a program that realizes the respective functions by
the processor (that is, by software). Information such as programs, tables, files,
and the like that realize each function can be stored in a storage device such as
a memory, a hard disk, and a solid state drive (SSD), or a storage medium such as
an IC card, an SD card, and a DVD. In addition, a control line and an information
line indicate what is considered to be necessary for the description, all control
lines and information lines necessary for the product do not indicate. In fact, it
can be considered that almost all the configurations are connected to each other.
Reference Signs List
[0073]
1...blood coagulation analysis device
2...control device
11...reaction container transfer mechanism
12...reaction container holding mechanism
13...reaction container erection portion
14...reaction container
15...specimen dispensing portion
16...coagulation analysis reagent dispensing mechanism
17...specimen erection portion
18...specimen container
19...specimen dispensing mechanism
21...measurement mechanism
22...light measuring unit
22a...light measuring unit
23...light source
24...light receiving portion
24a...light receiving portion
25...irradiation light
26...scattered light
31...Signal processing portion
32...amplification circuit unit
32a...preamplifier
32b... adder/subtracter
32c...amplification circuit
33...arithmetic operation unit
33a...analog/digital conversion circuit
33b... CPU
33c... memory
33d...digital/analog conversion circuit
33e...adjustment circuit
34...multiplexer
100... composite type automatic analysis device
101...specimen dispensing probe (specimen dispensing mechanism)
102...specimen disc
103...specimen container (sample container)
104...reaction container (coagulation)
105...specimen syringe pump
106... reagent dispensing probe (reagent dispensing mechanism)
107... reagent disc
108... reagent container
109... reagent temperature raising mechanism
110... reagent syringe pump
111...reaction container stock portion
112...reaction container transport mechanism
113...detection unit
114...reaction container installation portion
115...light source
116...detection unit (optical sensor)
117...reaction container disposal portion
118...operation portion
118a...mouse
118b... keyboard
118c...display portion
119...storage portion
120...control unit
120a...overall control unit
120b...measurement control unit
121...signal processing portion
122...interface
123...printer
126...biochemical reaction disc
127...transmitted light receiving portion
128...transmitted light source
129...reaction container installation portion
1. An automatic analysis device comprising:
a measurement mechanism that has a light measuring unit in which a reaction container
into which a specimen is dispensed is erected, a light source which irradiates the
reaction container with light, and a detection unit which detects scattered light
from the specimen in the reaction container;
an amplification circuit unit that has an adder/subtracter which adds or subtracts
a correction signal to/from a first measurement signal from the detection unit and
an amplification circuit which amplifies an output signal from the adder/subtracter
with a fixed amplification rate and outputs the amplified output signal as a second
measurement signal;
an arithmetic operation unit that calculates the correction signal based on a difference
between a signal level of the second measurement signal and a target value thereof
and executes an analysis operation based on the second measurement signal after the
correction by the correction signal; and
a control unit that controls operations of the measurement mechanism, the amplification
circuit unit, and the arithmetic operation unit.
2. The automatic analysis device according to claim 1,
wherein the arithmetic operation unit calculates a degree of an interference substance
contained in the specimen based on a convergence value of the difference which is
successively calculated.
3. The automatic analysis device according to claim 2,
wherein the arithmetic operation unit stops an analysis operation when the degree
of the interference substance is larger than a first threshold value.
4. The automatic analysis device according to claim 2,
wherein the arithmetic operation unit outputs an alarm indicating that the degree
of the interference substance contained in the specimen is high when the degree of
the interference substance is larger than a first threshold value.
5. The automatic analysis device according to claim 1,
wherein the detection unit detects the scattered light emitted from the specimen after
a reagent is mixed.
6. The automatic analysis device according to claim 5,
wherein the arithmetic operation unit stops an analysis operation when the second
measurement signal after correction by the correction signal exceeds a first threshold
value set based on the target value.
7. The automatic analysis device according to claim 5,
wherein the arithmetic operation unit outputs an alarm when the second measurement
signal exceeds a first threshold value set based on the target value.
8. The automatic analysis device according to claim 1, further comprising:
a multiplexer that multiplexes by time division and outputs a plurality of the first
measurement signals outputted from a plurality of the detection units corresponding
to a plurality of the light measuring units,
wherein the amplification circuit unit and the arithmetic operation unit commonly
provided in the plurality of the detection units corresponding to the plurality of
light measuring units process the plurality of first measurement signals sequentially
input from the multiplexer in a time division manner.
9. The automatic analysis device according to claim 1,
wherein at least one of a plurality of the detection units corresponding to a plurality
of the light measuring units is a second detection unit that measures transmitted
light transmitted through the reaction container.
10. The automatic analysis device according to claim 9,
wherein measurement of the transmitted light by the second detection unit is executed
when the degree of the interference substance contained in the specimen calculated
from the convergence value of the difference is larger than a first threshold value.
11. The automatic analysis device according to claim 9,
wherein the second detection unit is a detection unit provided in a biochemical analysis
device.
12. An automatic analysis system comprising:
an automatic analysis device; and
a control device that controls an operation of the automatic analysis device,
wherein the automatic analysis device includes
a measurement mechanism that has a light measuring unit in which a reaction container
into which a specimen is dispensed is erected, a light source which irradiates the
reaction container with light, and a detection unit which detects scattered light
from the specimen in the reaction container,
an amplification circuit unit that has an adder/subtracter which adds or subtracts
a correction signal to/from a first measurement signal from the detection unit and
an amplification circuit which amplifies an output signal from the adder/subtracter
with a fixed amplification rate and outputs the amplified output signal as a second
measurement signal, and
an arithmetic operation unit that calculates the correction signal based on a difference
between a signal level of the second measurement signal and a target value thereof
and executes an analysis operation based on the second measurement signal after the
correction by the correction signal.
13. An automatic analysis method using an automatic analysis device, the device including
a measurement mechanism that has a light measuring unit in which a reaction container
into which a specimen is dispensed is erected, a light source which irradiates the
reaction container with light, and a detection unit which detects scattered light
from the specimen in the reaction container, an amplification circuit unit that has
an adder/subtracter which adds or subtracts a correction signal to/from a first measurement
signal from the detection unit and an amplification circuit which amplifies an output
signal from the adder/subtracter with a fixed amplification rate and outputs the amplified
output signal as a second measurement signal, and an arithmetic operation unit,
the method comprising:
a process of calculating a difference between a signal level of the second measurement
signal and a target value thereof by the arithmetic operation unit;
a process of calculating the correction signal based on the calculated difference
by the arithmetic operation unit; and
a process of executing an analysis operation based on the second measurement signal
after correction by the correction signal by the arithmetic operation unit.